Individual
JULIE LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, IBCLC
Contact information
Practice address
4500 SOUTH 495 EAST, #104, MURRAY, UT 84107
(801) 608-8947
Mailing address
9857 S WESTLEY PARK CIR, SOUTH JORDAN, UT 84095-3018
(801) 608-8947
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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